Organization
ACTIVE HEALTH MEDICAL CENTER, CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. IVETTE MARTINEZ LMT (PRESIDENT)
(786) 286-6256
Entity
Organization
Contact information
Practice address
3970 W FLAGLER ST, SUITE 102, CORAL GABLES, FL 33134-1642
(305) 569-6647
(305) 774-2965
Mailing address
3970 W FLAGLER ST, SUITE 102, CORAL GABLES, FL 33134-1642
(305) 569-6647
(305) 774-2965
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
08/09/2007
Last updated
08/09/2007
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